CROSS-REFERENCE TO RELATED APPLICATIONS
FIELD
[0002] The present subject matter relates generally to pump assemblies and, more particularly,
to methods and systems for detecting the presence of tubing in a pump head of a pump
assembly.
BACKGROUND
[0003] Lower back injuries and chronic joint pain are major health problems resulting not
only in debilitating conditions for the patient, but also in the consumption of a
large proportion of funds allocated for health care, social assistance and disability
programs. In the lower back, disc abnormalities and pain may result from trauma, repetitive
use in the workplace, metabolic disorders, inherited proclivity, and/or aging. The
existence of adjacent nerve structures and innervation of the disc are very important
issues in respect to patient treatment for back pain. In joints, osteoarthritis is
the most common form of arthritis pain and occurs when the protective cartilage on
the ends of bones wears down over time.
[0004] A minimally invasive technique of delivering high-frequency electrical current has
been shown to relieve localized pain in many patients. Generally, the high-frequency
current used for such procedures is in the radiofrequency (RF) range, i.e. between
100 kHz and 1 GHz and more specifically between 300-600 kHz. The RF electrical current
is typically delivered from a generator via connected electrodes that are placed in
a patient's body, in a region of tissue that contains a neural structure suspected
of transmitting pain signals to the brain. The electrodes generally include an insulated
shaft with an exposed conductive tip to deliver the radiofrequency electrical current.
Tissue resistance to the current causes heating of tissue adjacent resulting in the
coagulation of cells (at a temperature of approximately 45°C for small unmyelinated
nerve structures) and the formation of a lesion that effectively denervates the neural
structure in question. Denervation refers to a procedure whereby the ability of a
neural structure to transmit signals is affected in some way and usually results in
the complete inability of a neural structure to transmit signals, thus removing the
pain sensations. This procedure may be done in a monopolar mode where a second dispersive
electrode with a large surface area is placed on the surface of a patient's body to
complete the circuit, or in a bipolar mode where a second radiofrequency electrode
is placed at the treatment site. In a bipolar procedure, the current is preferentially
concentrated between the two electrodes.
[0005] To extend the size of a lesion, radiofrequency treatment may be applied in conjunction
with a cooling mechanism, whereby a cooling means is used to reduce the temperature
of the electrode-tissue interface, allowing a higher power to be applied without causing
an unwanted increase in local tissue temperature that can result in tissue desiccation,
charring, or steam formation. The application of a higher power allows regions of
tissue further away from the energy delivery device to reach a temperature at which
a lesion can form, thus increasing the size/volume of the lesion. Some systems including
electrodes as described above may include multiple electrodes, each configured as
a medical probe assembly. Thus, a cooling means may be provided for each of the plurality
of probe assemblies, and typical cooling means include a pump assembly that pumps
a cooling fluid to a probe assembly, at least in part through tubing loaded in a pump
head of the pump assembly. In systems having multiple probe assemblies, each with
an associated pump assembly, a typical approach is to operate all pump assemblies
simultaneously, regardless of whether the associated probe assembly is being used
in a procedure and, thus, requires cooling. Accordingly, known systems usually operate
all pump heads even though one or more pump heads of the multiple pump assembly system
may not be loaded with tubing.
[0006] The treatment of pain using high-frequency electrical current has been applied successfully
to various regions of patients' bodies suspected of contributing to chronic pain sensations.
For example, with respect to back pain, which affects millions of individuals every
year, high-frequency electrical treatment has been applied to several tissues, including
intervertebral discs, facet joints, sacroiliac joints as well as the vertebrae themselves
(in a process known as intraosseous denervation). In addition to creating lesions
in neural structures, application of radiofrequency energy has also been used to treat
tumors throughout the body. Further, with respect to knee pain, which also affects
millions of individuals every year, high-frequency electrical treatment has been applied
to several tissues, including, for example, the ligaments, muscles, tendons, and menisci.
[0007] Thus, the art is continuously seeking new and improved systems and methods for treating
chronic pain using cooled RF ablation techniques. For example, improved systems utilizing
one or more methods for detecting whether tubing is loaded in a pump assembly of the
system, such that empty or unloaded pump assemblies can be deactivated or turned off,
would be useful.
US 2013/267894 A1 is a step in this direction, as it describes a method and system that verifies correct
connection of an inflow cassette in a pump system. As another example, systems having
a controller for controlling a power supply to a pump assembly based on whether the
pump assembly has tubing loaded in its pump head would be beneficial.
SUMMARY
[0008] Objects and advantages of the invention will be set forth in part in the following
description, or may be obvious from the description, or may be learned through practice
of the invention.
[0009] In one aspect, the present subject matter is directed to a method for detecting tubing
in a pump assembly of a pump system. The method comprises connecting a power supply
to each of a plurality of pump motors of the pump system. Each pump motor of the plurality
of pump motors has a power supply cable configured to connect to the power supply.
Further, each pump motor of the plurality of pump motors drives a pump head of a plurality
of pump heads of the pump system. The method also comprises sensing a motor current
from each of the power supply cables, determining whether tubing is loaded in each
pump head, and, if tubing is not loaded in a pump head, then disconnecting from the
power supply the power supply cable of the pump motor associated with the pump head
in which tubing is not loaded.
[0010] In another aspect, the present disclosure is directed to a system for detecting the
presence of tubing within a pump head of a plurality of pump heads. The system comprises
a plurality of pump assemblies. Each pump assembly comprises a pump motor, a power
supply cable for supplying power to the pump motor, and one pump head of the plurality
of pump heads. The pump motor drives the pump head. The system further comprises a
controller for controlling whether power is supplied to the power supply cable of
each pump assembly. The controller is configured for connecting a power supply to
each power supply cable, sensing a motor current from each of the power supply cables,
determining whether tubing is loaded in each pump head, and, if tubing is not loaded
in a pump head, then disconnecting from the power supply the power supply cable of
the pump motor associated with the pump head in which tubing is not loaded.
[0011] In yet another aspect, the present disclosure is directed to a method for detecting
tubing in a pump assembly. The method comprises connecting a power supply to a pump
motor of the pump assembly. The pump motor has a power supply cable for connecting
to the power supply, and the pump motor drives a pump head of the pump assembly. The
method further comprises sensing a motor current from the power supply cable; transforming
the motor current in a time domain to a frequency domain; determining whether tubing
is loaded in the pump head and, if tubing is not loaded in the pump head, then disconnecting
the power supply cable from the power supply; and calculating a speed of the pump
motor if tubing is loaded in the pump head. Determining whether tubing is loaded in
the pump head comprises determining how many fundamental frequencies are observable
in the transformed motor current.
[0012] These and other features, aspects and advantages of the present subject matter will
become better understood with reference to the following description and appended
claims. The accompanying drawings, which are incorporated in and constitute a part
of this specification, illustrate embodiments of the invention and, together with
the description, serve to explain the principles of the invention.
BRIEF DESCRIPTION OF THE DRAWINGS
[0013] A full and enabling disclosure of the present subject matter, including the best
mode thereof, directed to one of ordinary skill in the art, is set forth in the specification,
which makes reference to the appended figures, in which:
FIG. 1 provides a schematic illustration of a portion of a system for applying radiofrequency
electrical energy to a patient's body according to an exemplary embodiment of the
present subject matter.
FIG. 2 provides a perspective view of a pump system of FIG. 1 according to an exemplary
embodiment of the present subject matter.
FIG. 3 provides a block diagram of the pump system of FIG. 1 according to an exemplary
embodiment of the present subject matter.
FIG. 4 provides a schematic diagram illustrating a portion of the pump system of FIG.
2 according to an exemplary embodiment of the present subject matter.
FIG. 5 provides a flow diagram illustrating a method for detecting tubing in a pump
assembly according to an exemplary embodiment of the present subject matter.
FIG. 6 provides photographs of an oscilloscope screen, showing a current draw waveform
for a pump assembly pump motor operating without tubing loaded in a pump head of the
pump assembly.
FIG. 7 provides photographs of the oscilloscope screen of FIG. 6, showing a current
draw waveform for the pump assembly pump motor operating with tubing loaded in the
pump head of the pump assembly.
DETAILED DESCRIPTION
[0014] For the purposes of the present subject matter, a lesion refers to the region of
tissue that has been irreversibly damaged as a result of the application of thermal
energy, and the present subject matter is not intended to be limited in this regard.
Further, for the purposes of this description, proximal generally indicates that portion
of a device or system next to or nearer to a user (when the device is in use), while
the term distal generally indicates a portion further away from the user (when the
device is in use).
[0015] Generally, the present subject matter provides pump systems, pump assemblies, and
pump heads for pumping fluid to one or more systems or assemblies. More particularly,
the present subject matter provides a pump system comprising a plurality of pump assemblies,
and each pump assembly of the plurality of pump assemblies supplies a fluid to a cooling
circuit. The cooling circuit may be used to supply cooling fluid to the distal end
of a medical probe assembly for delivering energy to a patient's body, e.g., as part
of a treatment procedure. The pump system further comprises a base for supporting
the plurality of pump assemblies. Each pump assembly described herein comprises a
pump head, a bezel surrounding an outer perimeter of the pump head, a motor, and tubing.
[0016] In general, the pump head comprises an occlusion bed, a rotor guide, a rotor assembly
positioned between the occlusion bed and the rotor guide, and a pathway for tubing.
The tubing supplies fluid to the cooling circuit. The pathway comprises an inlet portion,
an outlet portion, and a connecting portion that connects the inlet portion to the
outlet portion. The inlet portion of the pathway is defined between the occlusion
bed and the rotor guide, the outlet portion of the pathway is defined between the
occlusion bed and the rotor guide, and the connecting portion of the pathway is defined
between the occlusion bed and the rotor assembly. Further, the occlusion bed is movable
with respect to the rotor guide and the rotor assembly. As described herein, through
such movement of the occlusion bed and other features, the pump head is configured
to ease the task of inserting the tubing into the pump head such that correct insertion
of the tubing is repeatable and safe. Once the tubing is inserted or loaded into the
pump head, and the user is safely separated from the rotor assembly, e.g., by a rotor
cover plate and pump head cover as described herein, the motor may be powered on to
drive the rotor assembly and thereby begin pumping the fluid through the tubing.
[0017] Referring now to the drawings, FIG. 1 illustrates a schematic diagram of one embodiment
of a system 100 of the present subject matter. As shown, the system 100 includes a
generator 102; a cable 104; one or more probe assemblies 106 (only one probe assembly
106 is shown); one or more cooling devices 108; a pump cable 110; one or more proximal
cooling supply tubes 112; and one or more proximal cooling return tubes 114. In an
exemplary embodiment, the system 100 includes first, second, third, and fourth probe
assemblies 106. As shown in the illustrated embodiment, the generator 102 is a radiofrequency
(RF) generator, but optionally may be any power source that may deliver other forms
of energy, including but not limited to microwave energy, thermal energy, ultrasound,
and optical energy. Further, the generator 102 may include a display 103 (FIG. 2)
incorporated therein. The display 103 may be operable to display various aspects of
a treatment procedure, including but not limited to any parameters that are relevant
to a treatment procedure, such as temperature, impedance, etc. and errors or warnings
related to a treatment procedure. If no display 103 is incorporated into the generator
102, the generator 102 may include means of transmitting a signal to an external display.
In one embodiment, the generator 102 is operable to communicate with one more devices,
for example, with one or more of the probe assemblies 106 and the one or more cooling
devices 108. Such communication may be unidirectional or bidirectional depending on
the devices used and the procedure performed.
[0018] In addition, as shown, a distal region 124 of the cable 104 may include a splitter
130 that divides the cable 104 into two or more distal ends 132 such that the probe
assemblies 106 can be connected thereto. A proximal end 128 of the cable 104 is connected
to the generator 102. This connection can be permanent, whereby, for example, the
proximal end 128 of the cable 104 is embedded within the generator 102, or temporary,
whereby, for example, the proximal end 128 of cable 104 is connected to generator
102 via an electrical connector. The two or more distal ends 132 of the cable 104
terminate in connectors 134 operable to couple to the probe assemblies 106 and establish
an electrical connection between the probe assemblies 106 and the generator 102. In
alternate embodiments, the system 100 may include a separate cable for each probe
assembly 106 being used to couple the probe assemblies 106 to the generator 102. Alternatively,
the splitter 130 may include more than two distal ends. Such a connector is useful
in embodiments having more than two devices connected to the generator 102, for example,
if more than two probe assemblies are being used.
[0019] The cooling device(s) 108 may include any means of reducing a temperature of material
located at and proximate to one or more of the probe assemblies 106. For example,
as shown in FIG. 2, the cooling devices 108 may include a pump system 120 having one
or more peristaltic pump assemblies 122 operable to circulate a fluid from the cooling
devices 108 through one or more proximal cooling supply tubes 112, the probe assemblies
106 (via internal lumens therein, as described in greater detail below), one or more
proximal cooling return tubes 114 and back to the one or more cooling devices 108.
For example, as shown in the illustrated embodiment of FIGS. 2 and 3, the pump system
120 includes four peristaltic pump assemblies 122 coupled to a power supply 126. In
such embodiments, as shown in FIG. 3, each of the plurality of pump assemblies 122
may be in separate fluid communication with one of the probe assemblies. The fluid
may be water or any other suitable fluid or gas. In alternate embodiments, the pump
system 120 may include only one peristaltic pump assembly 122 or greater than four
pump assemblies 122. In addition, as shown in FIG. 3, each of the pump assemblies
122 may have an independent speed (i.e., RPM) controller 125 that is configured to
independently adjust the speed of its respective pump assembly. The pump system 120
and pump assemblies 122 are described in greater detail below.
[0020] Referring to FIG. 1, the system 100 may include a controller or control module 101
for facilitating communication between the cooling devices 108 and the generator 102.
In this way, feedback control is established between the cooling devices 108 and the
generator 102. The feedback control may include the generator 102, the probe assemblies
106, and the cooling devices 108, although any feedback between any two devices is
within the scope of the present subject matter. The feedback control may be implemented,
for example, in a control module that may be a component of the generator 102. In
such embodiments, the generator 102 is operable to communicate bi-directionally with
the probe assemblies 106 as well as with the cooling devices 108. In the context of
the present subject matter, bi-directional communication refers to the capability
of a device to both receive a signal from and send a signal to another device.
[0021] As an example, the generator 102 may receive temperature measurements from one or
both of the first and second probe assemblies 106. Based on the temperature measurements,
the generator 102 may perform some action, such as modulating the power that is sent
to the probe assemblies 106. Thus, both probe assemblies 106 may be individually controlled
based on their respective temperature measurements. For example, power to each of
the probe assemblies 106 can be increased when a temperature measurement is low or
can be decreased when a measurement is high. This variation of power may be different
for each probe assembly. In some cases, the generator 102 may terminate power to one
or more probe assemblies 106. Thus, the generator 102 may receive a signal (e.g.,
temperature measurement) from one or both of the first and second probe assemblies
106, determine the appropriate action, and send a signal (e.g., decreased or increased
power) back to one or both of the probe assemblies 106. Alternatively, the generator
102 may send a signal to the cooling devices 108 to either increase or decrease the
flow rate or degree of cooling being supplied to one or both of the first and second
probe assemblies 106.
[0022] More specifically, the pump assemblies 122 may communicate a fluid flow rate to the
generator 102 and may receive communications from the generator 102 instructing the
pumps 122 to modulate this flow rate. In some instances, the peristaltic pump assemblies
122 may respond to the generator 102 by changing the flow rate or turning off for
a period of time. With the cooling devices 108 turned off, any temperature sensing
elements associated with the probe assemblies 106 would not be affected by the cooling
fluid, allowing a more precise determination of the surrounding tissue temperature
to be made. In addition, when using more than one probe assembly 106, the average
temperature or a maximum temperature in the temperature sensing elements associated
with the probe assemblies 106 may be used to modulate cooling.
[0023] In other embodiments, the cooling devices 108 may reduce the rate of cooling or disengage
depending on the distance between the probe assemblies 106. For example, when the
distance is small enough such that a sufficient current density exists in the region
to achieve a desired temperature, little or no cooling may be required. In such an
embodiment, energy is preferentially concentrated between first and second energy
delivery devices 192 through a region of tissue to be treated, thereby creating a
strip lesion. A strip lesion is characterized by an oblong volume of heated tissue
that is formed when an active electrode is in close proximity to a return electrode
of similar dimensions. This occurs because at a given power, the current density is
preferentially concentrated between the electrodes and a rise in temperature results
from current density. Thus, as illustrated by these examples, the controller 101 may
actively control energy delivered to the tissue by controlling an amount of energy
delivered through the energy delivery device(s) 192 and by controlling a flow rate
through the pump assembly(ies) 122, e.g., the flow rate through tubing of a pump head
200 of a pump assembly 122.
[0024] The cooling devices 108 may also communicate with the generator 102 to alert the
generator 102 to one or more possible errors and/or anomalies associated with the
cooling devices 108. Such errors and/or anomalies may include whether cooling flow
is impeded or if a lid of one or more of the cooling devices 108 is opened. The generator
102 may then act on the error signal by at least one of alerting a user, aborting
the procedure, and modifying an action.
[0025] The controller 101, as well as the other controllers or microcontrollers described
herein, such as the microcontroller 212 and motor controller 214, can include various
components for performing various operations and functions. For example, the controller
101 can include one or more processor(s) and one or more memory device(s). The operation
of the system 100, including the generator 102 and cooling device(s) 108, may be controlled
by a processing device such as the controller 101, which may include a microprocessor
or other device that is in operative communication with components of the system 100.
In one embodiment, the processor executes programming instructions stored in memory
and may be a general or special purpose processor or microprocessor operable to execute
programming instructions, control code, or micro-control code. The memory may be a
separate component from the processor or may be included onboard within the processor.
Alternatively, the controller 101 may be constructed without using a processor or
microprocessor, e.g., using a combination of discrete analog and/or digital logic
circuitry (such as switches, amplifiers, integrators, comparators, flip-flops, AND
gates, and the like) to perform control functionality instead of relying upon software.
Components of the system 100 may be in communication with the controller 101 via one
or more signal lines or shared communication busses.
[0026] Further, the one or more memory device(s) can store instructions that when executed
by the one or more processor(s) cause the one or more processor(s) to perform the
operations and functions, e.g., as those described herein for communicating a signal.
In one embodiment, the generator 102 includes a control circuit having one or more
processors and associated memory device(s) configured to perform a variety of computer-implemented
functions (e.g., performing the methods, steps, calculations and the like disclosed
herein). As used herein, the term "processor" refers not only to integrated circuits
referred to in the art as being included in a computer, but also refers to a controller,
a microcontroller, a microcomputer, a programmable logic controller (PLC), an application
specific integrated circuit, and other programmable circuits. Additionally, the memory
device(s) may generally comprise memory element(s) including, but not limited to,
computer readable medium (e.g., random access memory (RAM)), computer readable non-volatile
medium (e.g., a flash memory), a floppy disk, a compact disc-read only memory (CD-ROM),
a magneto-optical disk (MOD), a digital versatile disc (DVD) and/or other suitable
memory elements.
[0027] Such memory device(s) may generally be configured to store suitable computer-readable
instructions that, when implemented by the controller(s) or processor(s) 101, configure
the control circuit to perform various functions including, but not limited to, controlling
an amount of energy delivered through the energy delivery device(s) 192, controlling
a flow rate through the pump assembly(ies) 122, and/or other functions. More particularly,
the instructions may configure the control circuit to perform functions such as receiving
directly or indirectly signals from one or more sensors (e.g. voltage sensors, current
sensors, and/or other sensors) indicative of various input conditions, and/or various
other suitable computer-implemented functions, which enable the generator 102 or other
components of system 100 to carry out the various functions described herein. An interface
can include one or more circuits, terminals, pins, contacts, conductors, or other
components for sending and receiving control signals. Moreover, the control circuit
may include a sensor interface (e.g., one or more analog-to-digital converters) to
permit signals transmitted from any sensors within the system to be converted into
signals that can be understood and processed by the controller(s) or processor(s)
101.
[0028] Still referring to FIG. 1, the proximal cooling supply tubes 112 may include proximal
supply tube connectors 116 at the distal ends of the one or more proximal cooling
supply tubes 112. Additionally, the proximal cooling return tubes 114 may include
proximal return tube connectors 118 at the distal ends of the one or more proximal
cooling return tubes 114. In one embodiment, the proximal supply tube connectors 116
are female luer-lock type connectors and the proximal return tube connectors 118 are
male luer-lock type connectors, although other connector types are intended to be
within the scope of the present subject matter.
[0029] In addition, as shown in FIG. 1, the probe assembly 106 may include a proximal region
160, a handle 180, a hollow elongate shaft 184, and a distal tip region 190 that includes
the one or more energy delivery devices 192. The elongate shaft 184 and the distal
tip region 190 together form a probe 186 that contact a patient's body to deliver
energy thereto. The hollow elongate shaft 184 also may be described as an outer circumferential
portion 184 of the probe 186, and the energy delivery device 192 extends distally
from the outer circumferential portion 184. As further described herein, the elongate
shaft 184 may be an electrically non-conductive outer circumferential portion 184,
e.g., the shaft 184 may be formed from an electrically non-conductive material or
may be electrically insulated, and the energy delivery device(s) 192 may be electrically
and thermally-conductive energy delivery device(s) 192.
[0030] The proximal region 160 includes a distal cooling supply tube 162, a distal supply
tube connector 166, a distal cooling return tube 164, a distal return tube connector
168, a probe assembly cable 170, and a probe cable connector 172. In such embodiments,
the distal cooling supply tube 162 and distal cooling return tube 164 are flexible
to allow for greater maneuverability of the probe assemblies 106 but alternate embodiments
with rigid tubes are possible. Further, in several embodiments, the distal supply
tube connector 166 may be a male luer-lock type connector and the distal return tube
connector 168 may be a female luer-lock type connector. Thus, the proximal supply
tube connector 116 may be operable to interlock with the distal supply tube connector
166 and the proximal return tube connector 118 may be operable to interlock with the
distal return tube connector 168.
[0031] The probe assembly 106 also may include a shaft supply tube 136 and a shaft return
tube 138, which are internal lumens for circulating cooling fluid to a distal end
of the probe assembly 106. The distal cooling supply tube 162 and the distal cooling
return tube 164 may be connected to the shaft supply tube 136 and the shaft return
tube 138, respectively, within the handle 180 of the probe assembly 106. In one embodiment,
the shaft supply tube 136 and the shaft return tube 138 may be hypotubes made of a
conductive material, such as stainless steel, that extend from the handle 180 through
a lumen of the hollow elongate shaft 184 to distal tip region 190. The number of hypotubes
used for supplying cooling fluid and the number used for returning cooling fluid and
the combination thereof may vary.
[0032] As illustrated in FIG. 1, the cooling fluid flows in a cooling circuit 140 formed
by the cooling device(s) 108, the distal tip region 190 of the probe, and the various
supply and return tubes 112, 114, 162, 162, 136, 138. The arrows FF in FIG. 1 illustrate
the direction of flow of the cooling fluid supplied by the cooling device(s) 108 through
the cooling circuit 140. More specifically, the cooling fluid flows from the cooling
device(s) 108, through proximal cooling supply tube 112 to distal cooling supply tube
162, through distal cooling supply tube 162 to shaft supply tube 136, through shaft
supply tube 136 to the distal tip region 190, from the distal tip region 190 to shaft
return tube 138, through shaft return tube 138 to distal return tube 164, through
distal return tube 164 to proximal return tube 114, and through proximal return tube
114 to the cooling device(s) 108.
[0033] Referring still to FIG. 1, the probe cable connector 172 may be located at a proximal
end of the probe assembly cable 170 and may be operable to reversibly couple to one
of the connectors 134, thus establishing an electrical connection between the generator
102 and the probe assembly 106. The probe assembly cable 170 may include one or more
conductors depending on the specific configuration of the probe assembly 106. For
example, in one embodiment, the probe assembly cable 170 may include five conductors
allowing probe assembly cable 170 to transmit RF current from the generator 102 to
the one or more energy delivery devices 192, as well as to connect multiple temperature
sensing elements to the generator 102.
[0034] In addition, the handle 180 may be operable to easily and securely couple to an optional
introducer tube, e.g., in an embodiment where an introducer tube would facilitate
insertion of the one or more probe assemblies 106 into a patient's body. For instance,
as shown, the handle 180 may taper at its distal end to accomplish this function,
i.e., to enable the handle 180 to securely couple to an optional introducer tube.
Generally, introducer tubes may include a proximal end, a distal end, and a longitudinal
bore extending therebetween. Thus, the introducer tubes (when used) are operable to
easily and securely couple with the probe assembly 106. For example, the proximal
end of the introducer tubes may be fitted with a connector able to mate reversibly
with the handle 180 of a probe assembly 106. An introducer tube may be used to gain
access to a treatment site within a patient's body, and the hollow elongate shaft
184 of a probe assembly 106 may be introduced to the treatment site through the longitudinal
bore of the introducer tube. Introducer tubes may further include one or more depth
markers to enable a user to determine the depth of the distal end of the introducer
tube within a patient's body. Additionally, introducer tubes may include one or more
radiopaque markers to ensure the correct placement of the introducers when using fluoroscopic
guidance.
[0035] The introducer tubes may be made of various materials, as is known in the art and,
if the material is electrically conductive, the introducer tubes may be electrically
insulated along all or part of their length, to prevent energy from being conducted
to undesirable locations within a patient's body. In some embodiments, the elongate
shaft 184 may be electrically conductive, and an introducer may function to insulate
the shaft 184, leaving the energy delivery device 192 exposed for treatment. Further,
the introducer tubes may be operable to connect to a power source and, therefore,
may form part of an electrical current impedance monitor (wherein at least a portion
of the introducer tube is not electrically insulated). Different tissues may have
different electrical impedance characteristics, and therefore, it is possible to determine
tissue type based on impedance measurements, as has been described. Thus, it would
be beneficial to have a means of measuring impedance to determine the type of tissue
within which a device is located. In addition, the gauge of the introducer tubes may
vary depending on the procedure being performed and/or the tissue being treated. In
some embodiments, the introducer tubes should be sufficiently sized in the radial
dimension so as to accept at least one probe assembly 106. Moreover, in alternative
embodiments, the elongate shaft 184 may be insulated so as not to conduct energy to
portions of a patient's body that are not being treated.
[0036] The system 100 also may include one or more stylets. A stylet may have a beveled
tip to facilitate insertion of the one or more introducer tubes into a patient's body.
Various forms of stylets are well known in the art and the present subject matter
is not limited to include only one specific form. Further, as described above with
respect to the introducer tubes, the stylets may be operable to connect to a power
source and may therefore form part of an electrical current impedance monitor. In
other embodiments, one or more of the probe assemblies 106 may form part of an electrical
current impedance monitor. Thus, the generator 102 may receive impedance measurements
from one or more of the stylets, the introducer tubes, and/or the probe assemblies
106 and may perform an action, such as alerting a user to an incorrect placement of
an energy delivery device 192, based on the impedance measurements.
[0037] The energy delivery devices 192 may include any means of delivering energy to a region
of tissue adjacent to the distal tip region 190. For example, the energy delivery
devices 192 may include an ultrasonic device, an electrode, or any other energy delivery
means, and the present subject matter is not limited in this regard. Similarly, energy
delivered via the energy delivery devices 192 may take several forms, including but
not limited to thermal energy, ultrasonic energy, radiofrequency energy, microwave
energy, or any other form of energy. For example, in one embodiment, the energy delivery
devices 192 may include an electrode. The active region of the electrode 192 may be
2 to 20 millimeters (mm) in length and energy delivered by the electrode is electrical
energy in the form of current in the RF range. The size of the active region of the
electrode can be optimized for placement within, e.g., an intervertebral disc; however,
different sizes of active regions, all of which are within the scope of the present
subject matter, may be used depending on the specific procedure being performed. In
some embodiments, feedback from the generator 102 may automatically adjust the exposed
area of the energy delivery device 192 in response to a given measurement, such as
impedance or temperature. For example, in one embodiment, the energy delivery devices
192 may maximize energy delivered to the tissue by implementing at least one additional
feedback control, such as a rising impedance value. As previously described, each
energy delivery device 192 may be electrically and thermally-conductive and may comprise
a conductive outer circumferential surface to conduct electrical energy and heat from
the distal tip region 190 of the probe 186 to a patient's body. Further, the distal
tip region 190 includes one or more temperature sensing elements, which are operable
to measure the temperature at and proximate to the one or more energy delivery devices
192. The temperature sensing elements may include one or more thermocouples, thermometers,
thermistors, optical fluorescent sensors or any other means of sensing temperature.
[0038] In one embodiment, the first and second probe assemblies 106 may be operated in a
bipolar mode. For example, the distal tip region 190 of each of two probe assemblies
may be located within an intervertebral disc. In such embodiments, electrical energy
is delivered to the first and second probe assemblies 106, and this energy is preferentially
concentrated therebetween through a region of tissue to be treated (i.e., an area
of the intervertebral disc). The region of tissue to be treated is thus heated by
the energy concentrated between the first and second probe assemblies 106. In other
embodiments, the first and second probe assemblies 106 may be operated in a monopolar
mode, in which case an additional grounding pad is required on the surface of a body
of a patient, as is known in the art. Any combination of bipolar and monopolar procedures
may also be used. It should also be understood that the system may include more than
two probe assemblies 100. For example, in some embodiments, three probe assemblies
106 may be used, and the probe assemblies 106 may be operated in a triphasic mode,
whereby the phase of the current being supplied differs for each probe assembly 106.
In further embodiments, the system 100 may be configured to control one or more of
the flow of current between electrically conductive components and the current density
around a particular component. In such embodiments, the system 100 may be configured
to alternate between monopolar configurations, bipolar configurations, or quasi-bipolar
configurations during a treatment procedure.
[0039] As a particular example, to treat tissue of a patient's body according to an exemplary
embodiment of the present subject matter, the energy delivery device 192 of each of
two probe assemblies 106 may be inserted into the patient's body, e.g., using an introducer
and stylet as described herein. Once a power source, such as the generator 102, is
connected to the probe assemblies 106, a stimulating electrical signal may be emitted
from either of the electrodes 192 to a dispersive electrode or to the other electrode
192. This signal may be used to stimulate sensory nerves, where replication of symptomatic
pain would verify that the tissue, such as an intervertebral disc, is pain-causing.
Simultaneously, the cooling fluid may be circulated through the internal lumens 136,
138 of the probe assemblies 106 via the pump assemblies 122 and energy may be delivered
from the RF generator 102 to the tissue through the energy delivery devices 192. In
other words, radiofrequency energy is delivered to the electrodes 192 and the power
is altered according to the temperature measured by the temperature sensing element
in the tip of the electrodes 192 such that a desired temperature is reached between
the distal tip regions 190 of the two probe assemblies 106. During the procedure,
a treatment protocol such as the cooling supplied to the probe assemblies 106 and/or
the power transmitted to the probe assemblies 106 may be adjusted and/or controlled
to maintain a desirable treatment area shape, size and uniformity. More specifically,
actively controlling energy delivered to the tissue by controlling both an amount
of energy delivered through the energy delivery devices 192 and individually controlling
the flow rate of the pump assemblies 122. In further embodiments, the generator 102
may control the energy delivered to the tissue based on the temperature measured by
the temperature sensing element(s) in the distal tip region 190 of the probe assemblies
106 and/or based on impedance sensors.
[0040] Referring now to FIG. 4, a schematic diagram is provided of the pump system 120,
according to an exemplary embodiment of the present subject matter. As shown in FIG.
4, the pump system 120 includes four pump assemblies 122. Each pump assembly 122 comprises
a pump motor 150, a power supply cable 152 for supplying power to the pump motor 150,
and a pump head 154 driven by the motor 150. Thus, the pump system 120 illustrated
in FIG. 4 includes a first pump assembly 122a having a first motor 150a, a first power
supply cable 152a, and a first pump head 154a; a second pump assembly 122b having
a second motor 150b, a second power supply cable 152b, and a second pump head 154b;
a third pump assembly 122c having a third motor 150c, a third power supply cable 152c,
and a third pump head 154c; and a fourth pump assembly 122d having a fourth motor
150d, a fourth power supply cable 152d, and a fourth pump head 154d.
[0041] In each pump assembly 122, the motor 150 is directly coupled to the pump head 154
to drive the fluid pumping mechanism of the assembly 122, and the pump head 154 has
a rotor assembly that may rotate clockwise or counterclockwise. A tubing 156 (FIG.
2) may be loaded into the pump head 154, and the pump head rotor assembly acts on,
e.g., compresses, the tubing 156 to pump fluid from a fluid reservoir 158 (FIG. 2)
through the tubing 156 and the cooling circuit 140, e.g., to cool the distal end 194
of the probe assembly 106. More particularly, in exemplary embodiments, the pump assemblies
122 are peristaltic pump assemblies. As such, for each pump assembly 122, tubing 156
extends through the pump head 154, and the pump head 154, driven by the motor 150,
compresses the tubing 156 to draw a cooling fluid from the fluid reservoir 158 and
pump the cooling fluid into the shaft supply tube or lumen 136 that delivers the cooling
fluid to the distal end 194 of the energy delivery device 192 of the associated medical
probe assembly 106, as previously described.
[0042] As described herein, the system 100 may comprise a plurality of probe assemblies
106 that each has a dedicated cooling circuit 140, where the flow of cooling fluid
through the cooling circuit 140 is controlled by a pump assembly 122. That is, the
number of pump assemblies 122 may match the number of medical probe assemblies 106;
for example, the system 100 may include four probe assemblies 106 and four pump assemblies
122 as shown in FIGS. 2 and 4. However, not every probe assembly 106 of the system
100 may be operated during a procedure. For instance, a clinician may utilize only
two probe assemblies 106 during a given procedure, such that only two probe assemblies
106 out of the four probe assemblies 106 require cooling via their cooling circuits
140. Therefore, for the pump assemblies 122 associated with probe assemblies 106 that
are not in use during the procedure, it would be desirable to not run the pump motor
150 to drive the pump head 154, as no tubing 156 is loaded in the unused pump head
154 because no cooling is needed for the associated probe assembly 106.
[0043] As illustrated in FIG. 4, a control unit 148, such as a controller, processor, or
the like that may have a memory and be configured for executing programming instructions
as described above, is provided that helps determine whether tubing 156 is loaded
into a pump head 154 and, if not, terminates power to the pump head 154. In some embodiments,
the control unit 148 may be onboard the generator 102, e.g., the control unit 148
may be a control module of the controller 101. In other embodiments, the control unit
148 may be a separate controller or processor onboard the pump system 120 or other
suitable component of the system 100. Further, the control unit 148 may be configured
for controlling whether power is supplied to the power supply cable 152 of each pump
assembly 122, e.g., by controlling whether a switch in each power supply line is open
or closed, as described herein.
[0044] Referring to FIGS. 4 and 5, a method for detecting tubing in a pump assembly will
be described, according to an exemplary embodiment of the present subject matter.
FIG. 5 provides a flow diagram illustrating an exemplary method 500 for detecting
tubing 156 in a pump assembly 122. As shown at 502 in FIG. 5, the method 500 includes
connecting a power supply, such as power supply 126, to each of the plurality of pump
motors 150 of the pump system 120. More specifically, the power supply cable 152 of
each pump motor 150 is configured to connect to the power supply 126, such that, as
shown in the exemplary embodiment of FIG. 4, each power supply cable 152a, 152b, 152c,
152d is connected to the power supply 126. At 502, the power supply cables 152 are
placed in operative connection with the power supply 126 such that electrical current
flows through each power supply cable 152. For instance, one or more switches or the
like may be disposed between each power supply cable 152 and the power supply 126
such that the power or current may be interrupted to each power supply cable 152 individually.
As an example, the power supply to the first power supply cable 152a, which provides
power to the first pump motor 150a, may be interrupted or terminated, i.e., disconnected,
thereby rendering the first pump motor 150a inoperable, while the power supply to
each of the remaining power supply cables 152b, 152c, 152d is uninterrupted, i.e.,
the remaining power supply cables 152 are connected to the power supply 126. In some
embodiments, the pump motors 150 may begin to operate as soon as the motors 150 are
connected to the power supply 126, but in other embodiments, the method 500 also includes
at 502 turning on the pump motors 150 when the motors 150 are connected to the power
supply via the power supply cables 152.
[0045] As illustrated at 504 in FIG. 5, the method 500 further includes sensing a motor
current from each of the power supply cables 152. Referring to FIG. 4, a current sensor
182 is connected to, or in operative communication with, each of the power supply
cables 152 such that the current sensor 182 can measure the current draw by each pump
motor 150. In some embodiments, the current sensor 182 simultaneously measures each
supply current, but in other embodiments, the current sensor 182 multiplexes between
each power supply cable 152 to measure the current and, thus, includes a multiplexer
(or mux). In still other embodiments, the pump system 120 comprises a plurality of
current sensors 182, and one current sensor 182 of the plurality of current sensors
182 is positioned at each power supply cable 152 of the plurality of power supply
cables 152 to measure the current through the power supply cables 152. That is, an
individual current sensor 182 may be provided to sense or measure the current draw
by one pump motor 150, and an individual current sensor 182 is provided for each pump
motor 150 of the pump system 120. Although primarily described herein with respect
to a single current sensor 182, the present subject matter may be adapted for a plurality
of current sensors 182, as will be readily understood by one having ordinary skill
in the art.
[0046] The current sensor 182 is connected to the control unit 148 to communicate a motor
current or motor current signal from each power supply cable 152 to the control unit
148. As depicted in FIG. 4, the control unit 148 of the exemplary embodiment includes
three modules, engines, or software subroutines for processing the motor current signals-a
filter 174, a fast Fourier Transform (FFT) engine 176, and a post-processing engine
178. Referring to FIG. 5, the method 500 includes at 506 passing the motor current
from each of the power supply cables 152 through the filter 174 to produce a filtered
current signal from each of the power supply cables 152. In various embodiments, the
filter 174 may be a low-pass filter or a Kalman filter. A suitable filter 174 may
be selected based on, e.g., a typical frequency of the motors 150, such that the filter
174 can filter out signal noise based on the motor 150. For instance, the motors 150
may be stepper motors, which exhibit a stepping frequency, and the cutoff frequency
for the filter 174 may be based on the motor operating speed and step size.
[0047] As shown at 508 in FIG. 5, the method 500 also includes passing the filtered current
signal from each of the power supply cables 152 through the FFT engine 176 to produce
a transformed signal from each of the power supply cables 152. More specifically,
the FFT engine 176 transforms the current measured from the power supply cables 152
in the time domain to the frequency domain. Next, as shown at 510, the method includes
determining whether a tubing 156 is loaded in each pump head 154. In the depicted
embodiment, the transformed signals pass from the FFT engine 176 to the post-processing
engine 178, which determines whether the transformed signal from each power supply
cable 152 contains one or two fundamental frequencies. More particularly, as illustrated
in FIG. 6, when no tubing 156 is loaded in a pump head 154, the transformed current
signal from the power supply cable 152 supplying the pump motor 150 associated with
that pump head 154 exhibits only one fundamental frequency, which represents the stepping
frequency of the motor 150. The waveform shown in the oscilloscope photographs of
FIG. 6 is largely AC (alternating current) at a single fundamental frequency that
represents the stepping frequency of the motor 150; the y-axis is the normalized current
value and the x-axis is time. The upper and lower photographs in FIG. 6 are the same,
but in the lower photograph, a dotted line has been added to more clearly delineate
the waveform.
[0048] However, when tubing 156 is loaded in a pump head 154, the transformed current signal
from the power supply cable 152 supplying the pump motor 150 associated with that
pump head 154 exhibits two fundamental frequencies. The two fundamental frequencies
represent the stepping frequency of the motor 150 and the frequency with which the
pump head rotor assembly moves over the tubing 156, which is a lower frequency than
the motor's stepping frequency. As shown in the oscilloscope photographs of FIG. 7,
the stepping frequency of FIG. 6 is still present but is overlaid on a lower frequency.
The lower frequency, representing the rotor assembly rollers moving over the tubing
156 as described, is called out by the dotted line in the lower photograph (which
is otherwise identical to the upper photograph).
[0049] Thus, the post-processing engine 178 can use the presence of the lower frequency
to determine that tubing is present in a pump head 154. Stated differently, if the
post-processing engine 178 observes only one fundamental frequency in the transformed
signal from a power supply cable 152 to a pump motor 150, then the post-processing
engine 178 determines the pump head 154 associated with that pump motor 150 does not
have tubing 156 loaded in the pump head 154. Then, as shown at 512, the associated
pump motor 150 is disconnected from the power supply 126. That is, each pump head
154 without tubing 156 loaded in the pump head 154 does not need to be running and,
therefore, the pump motor 150 driving such empty pump heads 154 can be stopped, turned
off, or disconnected from the power supply 126. As previously discussed, the power
supply 126 may be interrupted or terminated to a given pump motor 150 by, e.g., opening
a switch in the power supply cable 152 supplying power to the motor 150.
[0050] Nonetheless, if the post-processing engine 178 observes two fundamental frequencies
in the transformed signal from a power supply cable 152 to a pump motor 150, e.g.,
a higher frequency consistent with a stepper motor's stepping frequency and a lower
frequency consistent with a rotor assembly rolling over a tube, then the post-processing
engine 178 determines the pump head 154 associated with that pump motor 150 does have
tubing 156 loaded in the pump head 154. Thus, the control unit 148 determines such
pump motors 150 should remain connected to the power supply 126, and in some embodiments,
the current sensor 182 may continue to sense the current through the connected power
supply cables 152 and send the current signal(s) to the control unit 148 for processing.
In some embodiments, as shown at 514, the lower frequency portion of the transformed
current signal from a power supply cable 152 of a pump motor 150 driving a tubing-loaded
pump head 154 also may be used to calculate or determine the speed, in revolutions
per minute (RPM), of the pump motor 150. More specifically, the lower frequency, representing
the frequency with which a roller of the pump head rotor assembly passes over the
tubing 156, is determined from the transformed current signal and may be denoted f_L.
The speed of the associated pump motor 150 may be calculated using the following equation:

where R is the number of rollers on the pump head rotor assembly. Thus, the lower
frequency f_L both denotes the presence of tubing 156 in the associated pump head
154 and can be used to determine the operating speed (or RPM) of the associated pump
motor 150.
[0051] It will be appreciated that the foregoing method may be applied to each pump assembly
122 of the pump system 120 such that the pump motor(s) 150 of only the pump assembly(ies)
122 in which tubing is loaded are running during a procedure. As an example, at the
beginning of a procedure utilizing two cooled probe assemblies 106, all of the pump
assemblies 122 of the pump system 120 are connected to the power supply 126 such that
all of the pump motors 150 begin to run or operate. Thus, in the depicted exemplary
embodiments, four pump motors 150a, 150b, 150c, 150d are connected to the power supply
126 such that the motors 150 begin to run and drive their associated pump head 154.
The current sensor 182 senses the current draw by each of the four pump motors, either
simultaneously or by multiplexing as described herein, and send the current signal
associated with each pump motor 150 to the control unit 148. The modules or engines
of the control unit 148 process the current signals as described herein. Then, the
control unit 148 determines whether the first pump head 154a is loaded with first
tubing 156a, the second pump head 154b is loaded with second tubing 156b, the third
pump head 154c is loaded with third tubing 156c, and the fourth pump head 154d is
loaded with fourth tubing 156d. Because two cooled probe assemblies 106 are being
used in the procedure as stated above, only two of the pump heads 154 are loaded with
tubing 156, so by analyzing the current signals from all four pump motors 150, the
control unit 148 determines which two pump heads 154 are loaded and disconnects the
pump motors 150 associated with the remaining two pump heads 154 from the power source
126. For example, if the control unit 148 determines the second and fourth pump heads
154b, 154d are loaded with tubing, the control unit 148 disconnects the first and
third pump motors 150a, 150c from the power supply 126, e.g., by opening a switch
in the first and third power supply cables 152a, 152c. Further, as described with
respect to method 500, the control unit 148 may determine the operating speed of the
second and fourth pump motors 150b, 150d using the lower fundamental frequency.
[0052] Detecting tubing using only pump motor supply current thresholds would be challenging
due to the minute difference in supply current thresholds between a pump head 154
operating with tubing 156 and a pump head 154 operating without tubing 156. For instance,
for a pump head 154 rotating at 140 RPM, a pump motor 150 may draw on average 300mA
(300 milliamps) without tubing 156 and approximately 310mA (310 milliamps) with tubing
156, within a noise floor of 10-20mA (10-20 milliamps). Thus, it is not possible to
effectively and repeatedly distinguish between a loaded and unloaded pump head 154
using only the difference in pump motor supply current.
[0053] Accordingly, the present subject matter provides a system and method for detecting
whether tubing is present in a pump head of a pump assembly, using an effective and
repeatable approach. More particularly, the difference in the pump motor supply current
waveform between loaded and unloaded pump heads is used to detect the presence of
tubing. As described herein, in exemplary embodiments, the method comprises operating
(or turning on) all pump motors of the pump system and observing the fundamental frequencies
(or waveforms) detectable in the current draw by each pump motor. If tubing is not
detected in a pump head, that pump motor is rendered inoperable (or turned off), e.g.,
by disconnecting the pump motor from its power supply. If tubing is detected in a
pump head, the pump motor associated with that pump head remains operable (or turned
on) such that cooling fluid may be pumped through the tubing. Thus, only those pump
motors of the pump assemblies actually in use during a procedure utilizing the cooling
fluid are operated or activated (or turned on) for the majority of the procedure.
[0054] Deactivating the pump motors of the unused pump assemblies reduces the power or energy
consumption of the system and reduces wear on the pump assemblies by running the assemblies
only when needed. Further, the safety of the system may be enhanced by reducing the
number of rotating parts, e.g., it is far less likely that an object will get twisted
or tangled up in a rotor or rotor assembly that is not rotating, and the pump motor
rotor and pump head rotor assembly of deactivated pump assemblies are not rotating.
Moreover, because the method for detecting the presence of tubing essentially comprises
using the difference in the supply current waveform between loaded and unloaded pump
heads to determine whether a given pump head is loaded or unloaded, the approach described
herein may be implemented in some systems without the addition of any hardware. That
is, the method is implemented through software, and the system need only a current
sensor (which may be a standard hardware component of the system) to provide the necessary
inputs to the software to implement the method. Thus, the method described herein
may be a relatively low cost approach to ensuring only the needed pump assemblies
are operated during a procedure. In addition, the method for detecting tubing described
herein also provides means for assessing during operation the rotational speed of
the pump motors or pump heads that are loaded with tubing. Other benefits and advantages
of the present subject matter also may be realized by those of ordinary skill in the
art.
[0055] Moreover, a system of the present subject matter may be used in various medical procedures
where usage of an energy delivery device may prove beneficial. Specifically, the system
of the present subject matter is particularly useful for procedures involving treatment
of back pain, including but not limited to treatments of tumors, intervertebral discs,
facet joint denervation, sacroiliac joint lesioning or intraosseous (within the bone)
treatment procedures. Moreover, the system is particularly useful to strengthen the
annulus fibrosus, shrink annular fissures and impede them from progressing, cauterize
granulation tissue in annular fissures, and denature pain-causing enzymes in nucleus
pulposus tissue that has migrated to annular fissures. Additionally, the system may
be operated to treat a herniated or internally disrupted disc with a minimally invasive
technique that delivers sufficient energy to the annulus fibrosus to breakdown or
cause a change in function of selective nerve structures in the intervertebral disc,
modify collagen fibrils with predictable accuracy, treat endplates of a disc, and
accurately reduce the volume of intervertebral disc tissue. The system is also useful
to coagulate blood vessels and increase the production of heat shock proteins.
[0056] Using liquid-cooled probe assemblies 106 with an appropriate feedback control system
as described herein also contributes to the uniformity of the treatment. The cooling
distal tip regions 190 of the probe assemblies 106 helps to prevent excessively high
temperatures in these regions which may lead to tissue adhering to the probe assemblies
106 as well as an increase in the impedance of tissue surrounding the distal tip regions
190 of the probe assemblies 106. Thus, by cooling the distal tip regions 190 of the
probe assemblies 106, higher power can be delivered to tissue with a minimal risk
of tissue charring at or immediately surrounding the distal tip regions 190. Delivering
higher power to energy delivery devices 192 allows tissue further away from the energy
delivery devices 192 to reach a temperature high enough to create a lesion and thus
the lesion will not be limited to a region of tissue immediately surrounding the energy
delivery devices 192 but will rather extend preferentially from a distal tip region
190 of one probe assembly 106 to the other.
[0057] As has been mentioned, a system of the present subject matter may be used to produce
a relatively uniform lesion substantially between two probe assemblies 106 when operated
in a bipolar mode. Oftentimes, uniform lesions may be contraindicated, such as in
a case where a tissue to be treated is located closer to one energy delivery device
192 than to the other. In cases where a uniform lesion may be undesirable, using two
or more cooled probe assemblies 106 in combination with a suitable feedback and control
system may allow for the creation of lesions of varying size and shape. For example,
preset temperature and/or power profiles that the procedure should follow may be programmed
into the generator 102 prior to commencement of a treatment procedure. These profiles
may define parameters (these parameters would depend on certain tissue parameters,
such as heat capacity, etc.) that should be used to create a lesion of a specific
size and shape. These parameters may include, but are not limited to, maximum allowable
temperature, ramp rate (i.e. how quickly the temperature is raised) and the rate of
cooling flow, for each individual probe. Based on temperature or impedance measurements
performed during the procedure, various parameters, such as power or cooling, may
be modulated, to comply with the preset profiles, resulting in a lesion with the desired
dimensions.
[0058] Similarly, it is to be understood that a uniform lesion can be created, using a system
of the present subject matter, using many different pre-set temperature and/or power
profiles which allow the thermal dose across the tissue to be as uniform as possible,
and that the present subject matter is not limited in this regard.
[0059] It should be noted that the term radiopaque marker as used herein denotes any addition
or reduction of material that increases or reduces the radiopacity of the device.
Further, the terms probe assembly, introducer, stylet etc. are not intended to be
limiting and denote any medical and surgical tools that can be used to perform similar
functions to those described. In addition, the subject matter is not limited to be
used in the clinical applications disclosed herein, and other medical and surgical
procedures wherein a device of the present subject matter would be useful are included
within the scope of the present subject matter.
1. A method for detecting tubing (156) in a pump assembly (122) of a pump system (120),
the method comprising:
connecting a power supply to each of a plurality of pump motors (150) of the pump
system (120), each pump motor (150) of the plurality of pump motors having a power
supply cable (152) configured to connect to the power supply, each pump motor (150)
of the plurality of pump motors driving a pump head (154) of a plurality of pump heads
of the pump system (120);
sensing a motor current from each of the power supply cables (152);
transforming the motor current in a time domain to a frequency domain to form a transformed
motor current from each of the power supply cables (152);
determining whether tubing (156) is loaded in each pump head (154) based on the number
of fundamental frequencies that are observable in the transformed motor current for
each of the power supply cables (152), wherein:
if tubing (156) is not loaded in a pump head (154), the power supply cable (152) of
the pump motor (150) associated with the pump head (154) in which tubing (156) is
not loaded is disconnected from the power supply, and
if tubing (156) is loaded in the pump head (154), a speed of the pump motor (150)
is calculated.
2. The method of claim 1, further comprising:
passing the motor current from each of the power supply cables (152) through a low-pass
filter to produce a filtered current signal from each of the power supply cables (152),
wherein the motor currents are passed through the low-pass filter prior to transforming
the motor current.
3. The method of claim 2, wherein transforming the motor current from the time domain
to the frequency domain comprises:
passing the filtered current signal from each of the power supply cables (152) through
a fast Fourier Transform engine (176) to generate the transformed motor current.
4. The method of claim 1, further comprising:
passing the transformed motor current from each of the power supply cables (152) through
a post-processing engine (178) to determine whether tubing (156) is loaded in each
pump head (154).
5. The method of claim 1, wherein tubing (156) is determined to be loaded into the pump
head (154) if two fundamental frequencies are observed.
6. The method of claim 1, wherein tubing (156) is determined to be not loaded into the
pump head (154) if only one fundamental frequency is observed.
7. The method of any of the preceding claims, further comprising:
passing the motor current from each of the power supply cables (152) through a Kalman
filter to produce a filtered current signal from each of the power supply cables (152),
wherein the motor currents are passed through the Kalman filter prior to transforming
the motor current.
8. The method of any of the preceding claims, wherein the motor current is transformed
from the time domain to the frequency domain using a fast Fourier Transform engine
(176).
9. The method of claim 1, wherein determining whether tubing (156) is loaded in each
pump head (154) based on the number of fundamental frequencies that are observable
in the transformed motor current further comprises:
passing the transformed motor current for each of the power supply cables (152) through
a post-processing engine (178) to determine the number of fundamental frequencies.
10. The method of any of the preceding claims, wherein the motor current from each of
the power supply cables (152) is sensed by a current sensor (182).
11. The method of any of the preceding claims, wherein the pump system (120) comprises
a plurality of pump assemblies (122), each pump assembly (122) configured to pump
a cooling fluid to a medical probe assembly (106) of a plurality of medical probe
assemblies, and
wherein each medical probe assembly (106) comprises a probe having an energy delivery
device (192) for delivering energy to a patient's body, the cooling fluid pumped to
a distal end of the energy delivery device (192).
12. A system for detecting the presence of tubing (156) within a pump head (154) of a
plurality of pump heads, the system comprising:
a plurality of pump assemblies (122), each pump assembly (122) comprising:
a pump motor (150),
a power supply cable (152) for supplying power to the pump motor (150) and one pump
head (154) of the plurality of pump heads,
wherein the pump motor (150) drives the pump head (154); and
a controller for controlling whether power is supplied to the power supply cable (152)
of each pump assembly (122), the controller configured for:
sensing a motor current from each of the power supply cables (152),
transforming the motor current for each of the power supply cables (152) from the
time domain to the frequency domain, and
determining whether tubing (156) is loaded in each pump head (154) based on the number
of fundamental frequencies that are observable in the transformed motor current, wherein:
if tubing (156) is not loaded in a pump head (154), the power supply cable (152) of
the pump motor (150) associated with the pump head (154) in which tubing (156) is
not loaded is disconnected from the power supply.
13. The system of claim 12, wherein transforming the motor current from the time domain
to the frequency domain comprises passing the current signal from each of the power
supply cables (152) through a fast Fourier Transform engine (176) to generate the
transformed motor current, the controller further configured for:
passing the motor current from each of the power supply cables (152) through a low-pass
filter to produce a filtered current signal from each of the power supply cables (152)
prior to transforming the motor current; and
passing the transformed motor current from each of the power supply cables (152) through
a post-processing engine (178) to determine the number of fundamental frequencies
that are observable in the transformed motor current.
14. The system of claim 12, wherein transforming the motor current from the time domain
to the frequency domain comprises passing the current signal from each of the power
supply cables (152) through a fast Fourier Transform engine (176) to generate the
transformed motor current, the controller further configured for:
passing the motor current from each of the power supply cables (152) through a Kalman
filter to produce a filtered current signal from each of the power supply cables (152)
prior to transforming the motor current; and
passing the transformed signal from each of the power supply cables (152) through
a post-processing engine (178) to determine the number of fundamental frequencies
that are observable in the transformed motor current.
15. The system of any of claims 12 through 14, further comprising:
a plurality of current sensors (182), one current sensor (182) positioned at each
power supply cable (152) of the plurality of power supply cables to measure the current
through the power supply cables (152) .
1. Verfahren zum Erkennen von Schläuchen (156) in einer Pumpenbaugruppe (122) eines Pumpensystems
(120), wobei das Verfahren Folgendes umfasst:
Anschließen einer Stromversorgung an jeden einer Vielzahl von Pumpenmotoren (150)
des Pumpensystems (120), wobei jeder Pumpenmotor (150) der Vielzahl von Pumpenmotoren
ein Stromversorgungskabel (152) aufweist, das so konfiguriert ist, dass es mit der
Stromversorgung verbunden werden kann, wobei jeder Pumpenmotor (150) der Vielzahl
von Pumpenmotoren einen Pumpenkopf (154) einer Vielzahl von Pumpenköpfen des Pumpensystems
(120) antreibt;
Erfassen eines Motorstroms von jedem der Stromversorgungskabel (152);
Transformieren des Motorstroms in einem Zeitbereich in einen Frequenzbereich, um einen
transformierten Motorstrom von jedem der Stromversorgungskabel (152) zu bilden;
Bestimmen, ob eine Verrohrung (156) in jedem Pumpenkopf (154) belastet ist, basierend
auf der Anzahl von Grundfrequenzen, die in dem transformierten Motorstrom für jedes
der Stromversorgungskabel (152) beobachtbar sind, wobei:
wenn ein Schlauch (156) in einem Pumpenkopf (154) nicht geladen ist, das Stromversorgungskabel
(152) des Pumpenmotors (150), der dem Pumpenkopf (154) zugeordnet ist, in dem der
Schlauch (156) nicht geladen ist, von der Stromversorgung getrennt wird, und
wenn ein Schlauch (156) in den Pumpenkopf (154) geladen ist, eine Drehzahl des Pumpenmotors
(150) berechnet wird.
2. Verfahren nach Anspruch 1, das ferner Folgendes umfasst:
Durchleiten des Motorstroms von jedem der Stromversorgungskabel (152) durch einen
Tiefpassfilter, um ein gefiltertes Stromsignal von jedem der Stromversorgungskabel
(152) zu erzeugen, wobei die Motorströme vor der Umwandlung des Motorstroms durch
den Tiefpassfilter geleitet werden.
3. Verfahren nach Anspruch 2, wobei die Umwandlung des Motorstroms vom Zeitbereich in
den Frequenzbereich Folgendes umfasst:
Durchleiten des gefilterten Stromsignals von jedem der Stromversorgungskabel (152)
durch eine Maschine der schnellen Fourier-Transformation (176), um den transformierten
Motorstrom zu erzeugen.
4. Verfahren nach Anspruch 1, das ferner Folgendes umfasst:
Durchleiten des transformierten Motorstroms von jedem der Stromversorgungskabel (152)
durch eine Nachverarbeitungsmaschine (178), um zu bestimmen, ob in jedem Pumpenkopf
(154) Schläuche (156) geladen sind.
5. Verfahren nach Anspruch 1, wobei festgestellt wird, dass die Schläuche (156) in den
Pumpenkopf (154) geladen sind, wenn zwei Grundfrequenzen beobachtet werden.
6. Verfahren nach Anspruch 1, bei dem festgestellt wird, dass die Schläuche (156) nicht
in den Pumpenkopf (154) geladen sind, wenn nur eine Grundfrequenz beobachtet wird.
7. Verfahren nach einem der vorhergehenden Ansprüche, das ferner Folgendes umfasst:
Durchleiten des Motorstroms von jedem der Stromversorgungskabel (152) durch einen
Kalman-Filter, um ein gefiltertes Stromsignal von jedem der Stromversorgungskabel
(152) zu erzeugen,
wobei die Motorströme durch den Kalman-Filter geleitet werden, bevor der Motorstrom
transformiert wird.
8. Verfahren nach einem der vorhergehenden Ansprüche, wobei der Motorstrom unter Verwendung
einer Maschine der schnellen Fourier-Transformation (176) vom Zeitbereich in den Frequenzbereich
transformiert wird.
9. Verfahren nach Anspruch 1, wobei das Bestimmen, ob eine Verrohrung (156) in jedem
Pumpenkopf (154) belastet ist, basierend auf der Anzahl von Grundfrequenzen, die in
dem transformierten Motorstrom beobachtbar sind, das Folgendes umfasst:
Durchleiten des transformierten Motorstroms für jedes der Stromversorgungskabel (152)
durch eine Nachverarbeitungsmaschine (178), um die Anzahl der Grundfrequenzen zu bestimmen.
10. Verfahren nach einem der vorhergehenden Ansprüche, wobei der Motorstrom von jedem
der Stromversorgungskabel (152) durch einen Stromsensor (182) erfasst wird.
11. Verfahren nach einem der vorhergehenden Ansprüche, wobei das Pumpensystem (120) eine
Vielzahl von Pumpenbaugruppen (122) umfasst, wobei jede Pumpenbaugruppe (122) so konfiguriert
ist, dass sie ein Kühlfluid zu einer medizinischen Sondenbaugruppe (106) aus einer
Vielzahl von medizinischen Sondenbaugruppen pumpt, und
wobei jede medizinische Sondenbaugruppe (106) eine Sonde mit einer Energieabgabevorrichtung
(192) zur Abgabe von Energie an den Körper eines Patienten umfasst, wobei das Kühlfluid
zu einem distalen Ende der Energieabgabevorrichtung (192) gepumpt wird.
12. System zum Erfassen des Vorhandenseins von Schläuchen (156) innerhalb eines Pumpenkopfes
(154) einer Vielzahl von Pumpenköpfen, wobei das System Folgendes umfasst:
eine Vielzahl von Pumpenbaugruppen (122), wobei jede Pumpenbaugruppe (122) Folgendes
umfasst:
einen Pumpenmotor (150),
ein Stromversorgungskabel (152) zur Stromversorgung des Pumpenmotors (150) und eines
Pumpenkopfes (154) aus der Vielzahl von Pumpenköpfen,
wobei der Pumpenmotor (150) den Pumpenkopf (154) antreibt; und
eine Steuerung zum Steuern, ob dem Stromversorgungskabel (152) jeder Pumpenbaugruppe
(122) Strom zugeführt wird, wobei die Steuerung für Folgendes konfiguriert ist:
Erfassen eines Motorstroms von jedem der Stromversorgungskabel (152),
Transformieren des Motorstroms für jedes der Stromversorgungskabel (152) aus dem Zeitbereich
in den Frequenzbereich, und
Bestimmen, ob eine Verrohrung (156) in jedem Pumpenkopf (154) belastet ist, basierend
auf der Anzahl von Grundfrequenzen, die in dem transformierten Motorstrom beobachtbar
sind, wobei:
wenn ein Schlauch (156) in einem Pumpenkopf (154) nicht geladen ist, das Stromversorgungskabel
(152) des Pumpenmotors (150), der dem Pumpenkopf (154) zugeordnet ist, in dem der
Schlauch (156) nicht geladen ist, von der Stromversorgung getrennt wird.
13. Das System nach Anspruch 12, wobei die Umwandlung des Motorstroms vom Zeitbereich
in den Frequenzbereich das Durchleiten des Stromsignals von jedem der Stromversorgungskabel
(152) durch eine Maschine der schnellen Fourier-Transformation (176) umfasst, um den
umgewandelten Motorstrom zu erzeugen, wobei die Steuerung zum Folgenden konfiguriert
ist:
Durchleiten des Motorstroms von jedem der Stromversorgungskabel (152) durch einen
Tiefpassfilter, um ein gefiltertes Stromsignal von jedem der Stromversorgungskabel
(152) vor der Umwandlung des Motorstroms zu erzeugen; und
Durchleiten des transformierten Motorstroms von jedem der Stromversorgungskabel (152)
durch eine Nachverarbeitungsmaschine (178), um die Anzahl der Grundfrequenzen, die
in dem transformierten Motorstrom beobachtbar sind, zu bestimmen.
14. Das System nach Anspruch 12, wobei das Transformieren des Motorstroms vom Zeitbereich
in den Frequenzbereich das Durchleiten des Stromsignals von jedem der Stromversorgungskabel
(152) durch eine Maschine der schnellen Fourier-Transformation (176) umfasst, um den
transformierten Motorstrom zu erzeugen, wobei die Steuerung ferner für Folgendes konfiguriert
ist:
Durchleiten des Motorstroms von jedem der Stromversorgungskabel (152) durch einen
Kalman-Filter, um ein gefiltertes Stromsignal von jedem der Stromversorgungskabel
(152) vor der Umwandlung des Motorstroms zu erzeugen; und
Durchleiten des transformierten Signals von jedem der Stromversorgungskabel (152)
durch eine Nachverarbeitungsmaschine (178), um die Anzahl der Grundfrequenzen, die
in dem transformierten Motorstrom beobachtbar sind, zu bestimmen.
15. Das System nach einem der Ansprüche 12 bis 14, das ferner Folgendes umfasst:
eine Mehrzahl von Stromsensoren (182), wobei ein Stromsensor (182) an jedem Stromversorgungskabel
(152) der Vielzahl von Stromversorgungskabeln positioniert ist, um den Strom durch
die Stromversorgungskabel (152) zu messen.
1. Procédé de détection d'un tube (156) dans un ensemble pompe (122) d'un système de
pompe (120), le procédé comprenant :
le branchement d'une alimentation électrique à chacun d'une pluralité de moteurs de
pompe (150) du système de pompe (120), chaque moteur de pompe (150) de la pluralité
de moteurs de pompe présentant un câble d'alimentation électrique (152) conçu pour
être branché à l'alimentation électrique, chaque moteur de pompe (150) de la pluralité
de moteurs de pompe entraînant une tête de pompe (154) d'une pluralité de têtes de
pompe du système de pompe (120) ;
la détection d'un courant moteur à partir de chacun des câbles d'alimentation électrique
(152) ;
la transformation du courant moteur dans un domaine temporel en un domaine fréquentiel
pour former un courant moteur transformé à partir de chacun des câbles d'alimentation
électrique (152) ;
le fait de déterminer si un tube (156) est chargé dans chaque tête de pompe (154)
sur la base du nombre de fréquences fondamentales qui sont observables dans le courant
moteur transformé pour chacun des câbles d'alimentation électrique(152), dans lequel
:
si un tube (156) n'est pas chargé dans une tête de pompe (154), le câble d'alimentation
électrique (152) du moteur de pompe (150) associé à la tête de pompe (154) dans laquelle
un tube (156) n'est pas chargé est débranché de l'alimentation électrique, et
si un tube (156) est chargé dans la tête de pompe (154), une vitesse du moteur de
pompe (150) est calculée.
2. Procédé selon la revendication 1, comprenant en outre :
le fait de faire passer le courant moteur à partir de chacun des câbles d'alimentation
électrique (152) à travers un filtre passe-bas pour produire un signal de courant
filtré à partir de chacun des câbles d'alimentation électrique (152), dans lequel
les courants moteur passent à travers le filtre passe-bas avant la transformation
du courant moteur.
3. Procédé selon la revendication 2, dans lequel la transformation du courant moteur
à partir du domaine temporel vers le domaine fréquentiel comprend :
le fait de faire passer le signal de courant filtré à partir de chacun des câbles
d'alimentation électrique (152) à travers un moteur de transformation de Fourier rapide
(176) pour générer le courant moteur transformé.
4. Procédé selon la revendication 1, comprenant en outre :
le fait de faire passer le courant moteur transformé à partir de chacun des câbles
d'alimentation électrique (152) à travers un moteur de post-traitement (178) pour
déterminer si un tube (156) est chargé dans chaque tête de pompe (154).
5. Procédé selon la revendication 1, dans lequel un tube (156) est déterminé comme chargé
dans la tête de pompe (154) si deux fréquences fondamentales sont observées.
6. Procédé selon la revendication 1, dans lequel un tube (156) est déterminé comme n'étant
pas chargé dans la tête de pompe (154) si une seule fréquence fondamentale est observée.
7. Procédé selon l'une quelconque des revendications précédentes, comprenant en outre
:
le fait de faire passer le courant moteur à partir de chacun des câbles d'alimentation
électrique (152) à travers un filtre de Kalman pour produire un signal de courant
filtré à partir de chacun des câbles d'alimentation électrique (152),
dans lequel les courants moteur traversent le filtre de Kalman avant la transformation
du courant moteur.
8. Procédé selon l'une quelconque des revendications précédentes, dans lequel le courant
moteur est transformé à partir du domaine temporel vers le domaine fréquentiel, en
utilisant un moteur à transformation de Fourier rapide (176) .
9. Procédé selon la revendication 1, dans lequel le fait de déterminer si un tube (156)
est chargé dans chaque tête de pompe (154) sur la base du nombre de fréquences fondamentales
qui sont observables dans le courant moteur transformé comprend en outre :
le fait de faire passer le courant moteur transformé pour chacun des câbles d'alimentation
électrique (152) à travers un moteur de post-traitement (178) pour déterminer le nombre
de fréquences fondamentales.
10. Procédé selon l'une quelconque des revendications précédentes, dans lequel le courant
moteur à partir de chacun des câbles d'alimentation électrique (152) est détecté par
un capteur de courant (182).
11. Procédé selon l'une quelconque des revendications précédentes, dans lequel le système
de pompe (120) comprend une pluralité d'ensembles pompe (122), chaque ensemble pompe
(122) étant conçu pour pomper un fluide de refroidissement vers un ensemble sonde
médicale (106) d'une pluralité d'ensembles sonde médicale, et
dans lequel chaque ensemble sonde médicale (106) comprend une sonde ayant un dispositif
de délivrance d'énergie (192) pour délivrer de l'énergie au corps d'un patient, le
fluide de refroidissement étant pompé vers une extrémité distale du dispositif de
délivrance d'énergie (192).
12. Système de détection de la présence de tube (156) à l'intérieur d'une tête de pompe
(154) d'une pluralité de têtes de pompe, le système comprenant :
une pluralité d'ensembles pompe (122), chaque ensemble pompe (122) comprenant :
un moteur de pompe (150),
un câble d'alimentation électrique (152) pour fournir de l'énergie au moteur de pompe
(150) et
une tête de pompe (154) de la pluralité de têtes de pompe,
dans lequel le moteur de pompe (150) entraîne la tête de pompe (154) ; et
un dispositif de commande pour commander si de l'énergie est fournie au câble d'alimentation
électrique (152) de chaque ensemble pompe (122), le dispositif de commande étant conçu
pour :
détecter un courant moteur à partir de chacun des câbles d'alimentation électrique
(152),
transformer le courant moteur pour chacun des câbles d'alimentation électrique (152)
à partir du domaine temporel vers le domaine fréquentiel, et
déterminer si un tube (156) est chargé dans chaque tête de pompe (154) sur la base
du nombre de fréquences fondamentales qui peuvent être observées dans le courant moteur
transformé, dans lequel :
si un tube (156) n'est pas chargé dans une tête de pompe (154), le câble d'alimentation
électrique (152) du moteur de pompe (150) associé à la tête de pompe (154) dans laquelle
un tube (156) n'est pas chargé est débranché de l'alimentation électrique.
13. Système selon la revendication 12, dans lequel la transformation du courant moteur
à partir du domaine temporel vers le domaine fréquentiel comprend le fait de faire
passer le signal de courant à partir de chacun des câbles d'alimentation électrique
(152) à travers un moteur de transformation de Fourier rapide (176) pour générer le
courant moteur transformé, le dispositif de commande est en outre conçu pour :
faire passer le courant moteur à partir de chacun des câbles d'alimentation électrique
(152) à travers un filtre passe-bas pour produire un signal de courant filtré à partir
de chacun des câbles d'alimentation électrique (152), avant la transformation du courant
moteur ; et
faire passer le courant moteur transformé à partir de chacun des câbles d'alimentation
électrique (152) à travers un moteur de post-traitement (178) pour déterminer le nombre
de fréquences fondamentales qui peuvent être observées dans le courant moteur transformé.
14. Système selon la revendication 12, dans lequel la transformation du courant moteur
à partir du domaine temporel vers le domaine fréquentiel comprend le passage du signal
de courant provenant de chacun des câbles d'alimentation électrique (152) à travers
un moteur de transformation de Fourier rapide (176) pour générer le courant moteur
transformé, le dispositif de commande étant en outre conçu pour :
faire passer le courant moteur à partir de chacun des câbles d'alimentation électrique
(152) à travers un filtre de Kalman pour produire un signal de courant filtré à partir
de chacun des câbles d'alimentation électrique (152) avant la transformation du courant
moteur ; et
faire passer le signal transformé à partir de chacun des câbles d'alimentation électrique
(152) à travers un moteur de post-traitement (178) pour déterminer le nombre de fréquences
fondamentales qui peuvent être observées dans le courant moteur transformé.
15. Système selon l'une quelconque des revendications 12 à 14, comprenant en outre :
une pluralité de capteurs de courant (182), un capteur de courant (182) positionné
au niveau de chaque câble d'alimentation électrique (152) de la pluralité de câbles
d'alimentation pour mesurer le courant à travers les câbles d'alimentation électrique
(152).